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Subject:
From:
Chris Hafner-Eaton <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 10 Mar 2001 09:48:31 -0800
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(RESEND WITH SUBJECT)
I absolutely concur with Jennifer about relactation this early in the
"game."  It should not be terribly difficult IF you promote a multi-faceted
approach.  Here is an outline of the one I use with patients and teach in
professional presentations (Note:  this is only an excerpt and it is not
comprehensive, but it will give you an idea of what I mean by multifaceted):

IV. Actions:
 A. Proper positioning, latch, frequency, pumping & devices (sns, etc
 B. Breast compression &  Breast Massage
 C. Skin to skin contact; Co-sleep, babywearing, Infant Massage
 D.  Dietary Factors, Protein & fluid intake requirements; Dietary
   Supplements for mom (herbs?) necessary for relactation success
   1-Fenugreek, Blessed Thistle, Goats Rue=supply
   2-Hops, Passionflower, Chamiomille=MER enhancement
   3-Herbs for iron def anemia (in cases of hemorrhage): alfalfa,
       dandelion, use citrus to chelate iron in diet, cook high acid foods
       in  cast iron pots
E. Medicinal Approaches
    1. Domperidone
    2. Reglan
    3. Homeopathics: especially for MER
    4. Synocinon
F. Relaxation Techniques:  Music, Guided Imagery, Aromatherapy, Color
V.  Educate parents on what to expect
  A. Provide a detailed & comprehensive care plan for getting baby back to
   the breast and decreasing amt. formula
   B. Follow-up & Feedback:

-- If you need more assistance, let me know.  Also, there is a great WHO
paper on relactation.
Warmly,
--Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC    [log in to unmask]
INFANT CUISINE AND MOTHER CARE: Lactation Consulting, Perinatal Health
Education and Attachment Parenting Classes for parents and practitioners

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